BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, LAHORE

Admission Form (Private Candidate) for Intermediate (Supplementary) Examination, 2019

Board Copy

Ref. No. ______________

GENERAL SCIENCE (PART-II) SESSION 2017-2019

( COMPARTMENT ) Roll No. ______________

Form No: 505434

Prev Roll No: 589044 ( ANNUAL , 2019 )
Name: MUHAMMAD AHMAD Bay-Form No: 35201-9743026-7
KHALID
Father Name: SHEIKH KHALID IQBAL Father CNIC: 35201-1607633-1
Date Of Birth: 26/09/2000 Mobile No: 03211673483
Registration No: 30116-2104-2017 M.O.I: NO MALE
Speciality: NONE Religion:
Address: STREET#39 HOUSE#31 VICTORY SCIENCE ACADEMY RAMGHAR MUGHALPURA
LAHORE
District: LAHORE
Proposed Exam Area:BAGHBANPURA

Part I Subjects Part II Subjects

1. PHYSICS

Cross attestation of photo please

Total Amount Rs. 1295

CMD Account No. 0042-79000670-03 (HBL) Candidate's Thumb Impression

Bank Challan No.760505434

Bank Branch Name: ___________________ Date : ___________________

Attestation:
Headmaster/Headmistress/Principal: ______________________

Head Of Institution Name: ______________________

School/ College Code: ______________________ Candidate Signature In Urdu ___________________

CNIC: ______________________ Candidate Signature In English _________________

Stamp/Signature:____________________________

Due Date: 16/09/2019 Printing Date: 06/09/2019

Manager/Cashier: _____________________________ Bank Stamp: _____________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION 86-MOZANG ROAD LAHORE Printing Date: 06/09/2019
Candidate Copy

Due Date: 16/09/2019 Commencement of Exam: 15/10/2019

Form No: Prev Roll No: 589044 ( ANNUAL , 2019 )
505434
Name: MUHAMMAD AHMAD Father Name: SHEIKH KHALID
KHALID IQBAL
Bank Challan No.760505434 Total Amount Rs.1295/-
Proposed Exam Area: BAGHBANPURA
Manager/Cashier: _____________________________
 BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, LAHORE
Revenue Form (Private Candidate) for Intermediate (Supplementary) Examination, 2019
Board Copy

Ref. No. ______________

Form No: 505434

Prev Roll No: 589044 ( ANNUAL , 2019 )
Name: MUHAMMAD AHMAD Bay-Form No: 35201-9743026-7
KHALID
Father Name: SHEIKH KHALID IQBAL Father CNIC: 35201-1607633-1
Date Of Birth: 26/09/2000 Mobile No: 03211673483
Registration No: 30116-2104-2017 MALE
Speciality: NONE
Address: STREET#39 HOUSE#31 VICTORY SCIENCE ACADEMY RAMGHAR MUGHALPURA
LAHORE
District: LAHORE

Part I Subjects Part II Subjects

1. PHYSICS

Candidate Signature In Urdu ___________________ Signature In English ___________________

Due Date: 16/09/2019

Printing Date: 06/09/2019
Admission Fee Part I 0 Late Fee 0
Admission Fee Part II 900 Registration Fee 0
Processing Fee 395 Certificate Fee 0
Total Amount Rs. One Thousand Two Hundred and Ninety Five
1295/-
CMD Account No. 0042-79000670-03 (HBL) Bank Challan No.760505434
Manager/Cashier: _____________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION 86-MOZANG ROAD LAHORE

Board Copy (For Budget Section)

Due Date: 16/09/2019 (To be sent to the board via HBL 0123
branch alongwith scroll)
Printing Date: 06/09/2019
Name: MUHAMMAD AHMAD KHALID Father Name: SHEIKH KHALID IQBAL
Admission Fee P-I 0 Late Fee 0 Bank Stamp
Admission Fee P-II 900 Registration Fee 0
Processing Fee 395 Certificate Fee 0
Total Amount Rs. One Thousand Two Hundred and Ninety Five
1295/-
CMD Account No. 0042-79000670-03 (HBL) Bank Challan No.760505434
Manager/Cashier: _____________________________

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION 86-MOZANG ROAD LAHORE

Bank Copy
Due Date: 16/09/2019 (To be retained with HBL)
Printing Date: 06/09/2019
Name: MUHAMMAD AHMAD KHALID Father Name: SHEIKH KHALID IQBAL
Admission Fee P-I 0 Late Fee 0 Bank Stamp
Admission Fee P-II 900 Registration Fee 0
Processing Fee 395 Certificate Fee 0
Total Amount Rs. One Thousand Two Hundred and Ninety Five
1295/-
CMD Account No. 0042-79000670-03 (HBL) Bank Challan No.760505434
Manager/Cashier: _____________________________